HomeMy WebLinkAbout2558 ROOSEVELT ST; 205; CB900010; Permit/
B U I L D I N G P E R M I T
01/17/90 10:19
Page 1 of 1
Job Address: 2558 ROOSEVELT ST Str:
Permit Type: COMMERCIAL TENANT IMPROVEMENT
Parcel No: 203-102-35-00
Valuation: 10,738
Construction Type: NEW
Occupancy Group: B-2 Class Code : V-N
Description : 767 SF TI SUITE 205
OWNER Lie.
STE . 305
..
Permit No: CB90001 0
Project No: A9000011
Development No:
Fl: Ste:
2t-9 01/1 /90 0001 01 02
c-P~'1T J~.oo
GJ-c:f=F' 3 $0
Status: ISSUED
Applied 01/05/90
Apr/Issue 01/17/90
Validated By: JPY
619-434-1742
CONTRACTOR
PRESIDENTIAL PLAZA
2588 ROOSEVELT ST .,
CARLSBAD, CA 92008
TUBBS, HENRY Lie. C 482638 619-632-0332
2221 COOLNGREEN WAY
ENCINITAS CA 92024
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
Building Permit
Plan Check
Strong Motion Fee
641.00
.00
6 41.00
***
Enter 'Y' to Autocalc License Tax>
* BUILDING TOTAL
Enter "Y" for Plumbing Issue Fee >
Enter "Y" for Electric Issue Fee >
Three Phase Per AMP >
* ELECTRICAL TOTAL ($10 Minimum)
Enter 'Y' for Mechanical Issue Fee>
Fees Collected & Credits ***
Total Credits: .00
Total Payments: 82.00
Balance Due: 559.00
Units Fee/Unit Ext fee Data
126.00
82.00
2.00
376.00 y
586.00
N
5 :oo y
100 .00 .50 50.00
55.00
N
APPROVAL
~--DATE ----
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION ~ V
City of Carlsbad Building Department
2075 Las Palmas □r., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
A COMMERCIAL
0 INDUSTRIAL
C □RESIDENTIAL 0 APARTMENT
□DUPLEX ODEM0LJTI0N
□MECHANICAL □POOL
ENANT IMPROVEMENT
QTENMH IMPROVEMENT
□CONDO □SINGLE FAMILY DWELLING □ADDITION/ALTERATION
□RELOCATION □MOBILE HOME □ELECTRICAL □PLUMBING
□SPA □RETAINING WALL □SOLAR
VAL ID. BY_-''f-...>,'------=---,-----
DATE
2464 O:t/O\.l9G 000.1 0.1. C--H~MT
2. PROJECT INFORMATION PLAN CHECK No.
LEGAL DESCRIPTION Lot No. Subdivision Name/N~ber Unit No. Phase No,
CHECK BELCM If SUBNITTEO;
Q2 Energy Cales 02 Structural Cales
ASSESSOR IS PARCEL
bESCRIPIION Of wORk
'j-C, 7 ~fr-.~
BLOG. SQ. FTG.
3.
SIGNATURE
02 Soils Report
# OF STORIES
D 1 Addressed Envelope
EXISTING USE -
ADDRESS
STATE (4 . ZIP COOE
/Cj'"J I v'i CCqc; F f/rf/-1:_ w4, 41= / 6
17,,,02'-f DAY TELEPHONE b'3'2--o -5 -~-z.._.
0
4. APPLI CONTRACTOR
ADDRESS
□OWNER Ja'AGHIT FOR OWNER
7.
8.
""ffa-112-'1
CITY STATE ZIP CODE
ADDRESS
ZIP CCOE
DAY TELEPHONE
4!=305-
2-,tJo OAY TELEPHONE ) -/7 '-I/.
1 Cf r.n v ~ ?c vv /,i<-7 '-fr I c u
q --z,o l <.( DAY TELEPHONE 6 77_,,,e, ..., ·:; -2,.-
LICENSE CLASS 23 CITY BUSINESS (FY\-~
TITLE ~ DATE
DESIGNER NAM ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC, #
WORKERS' COMPENSATION Workers' Coq,ensat1on Declaration: hereby affirm that have a certificate of consent to self·insure issued by the Director of Industrial Relations,
or a certificate of Workers' Coo-pens at ion Insurance by an actni t ted insurer, or an exact copy or dupl i cate thereof certified by the Di rector of the
insurer thereof filed with the ~uildirtg Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY (s-,,,.___ POLICY NO. f)(PIRATJON DATE
Certificate of EXefllltion: certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner
so es to become subject to the l.lorkers• Coo-.,ensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION Owner-Builder Oeclaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
DI as owner of the property or my employees with wages as the1r sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon,, and who
does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of COlfllletion, the owner-builder will have the burden of proving that he did not build or improve for the purpose
of sale.).
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor{s)
licensed pursuant to the Contractor's License Law).
0 I am ex~t under Section ____________ Business and Professions Code for this reason:
(Sec. 7031,5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure,
prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, corrmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom,
end the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not
more than five hundred do l l ars [S500J ) .
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDEIHIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
DYES "1ii NO
i's the applicant or future building occupant requir~to obtain a permit from the air pollution control district or air quality management district?
0YES 1'\No
Is the facility to be constructed within 1,000 feet "";;;)the outer boundary of a school site?
□YES
IF ANY OF THE ANSWERS ARE TES, A FINAL CERTIFICATE Of OCaJPANCY MAY NOT BE ISSU::D AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS tEETING THE REQUJREtENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENuING AGENCY
hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building construction. ! hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll)GMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST S,\ID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
EKpiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building
or work authorized by such permit is not comTienced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any ti~ Is cormienced for a period of 180 days (Section 303(d) Uniform Building Code).
APPL! TURE ' ) □ OWNER t;;fcoNTRACTDR 1'.1-BY PHO~E APPROVED BY: ~ '"2-0:, ~ '2-DATE, _______ _
YELLOW: Applicant PINK: Finance
•
PERMIT# CB900010
DESCRIPTION: 767 SF TI
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/14/90
SUITE 205
INSPECTOR AREA PK
PLANCK# CB900010
OCC GRP
TYPE: CTI
JOB ADDRESS: 2558 ROOSEVELT ST
APPLICANT: TUBBS, HENRY
CONTRACTOR: TUBBS, HENRY
OWNER: PRESIDENTIAL PLAZA
REMARKS: Tl/MH/HENRY/632-0332
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--PERMIT#
CB881255
CB891866
CB900011
TYPE
ELEC
ITI
CTI
CONSTR. TYPE NEW
STR: FL: STE:
PHONE: 632-0332~ PHONE: 619-632-Cp3
PHONE: 619-434-J-74 /
INSPECTOR Vr,c~/,/
STATUS
ISSUED
ISSU:ED
ISSUED
i
CD LVL DESCRIPTION ACT COMMENTS
19 ST Final Structural
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
fV htu Pt1s tv.f/{2,0!~
=F----
------------------------------------
--------------------
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
020890 Frame/Steel/Bolting/Welding AP PK CEILING
020890 Rough Electric AP PK CEILING
020890 Rough/Ducts/Dampers co PK Y BRANCH SMASHED REPLACE
012990 Interior Lath/Drywall AP PK SUITE #205
011890 Frame/Steel/Bolting/Welding AP PK WALLS
011890 Rough Electric AP PK WALLS
011890 Rough/Ducts/Dampers NR PK
. .. J
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: J0-10 DATE: 2-15-90
PROJECT NAME: ---------------------------------
ADDRESS: 2.>!>8 Roosevelt St ~ # c:Jr;,£
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: CTI _____________ NUMBER OF UNITS:
CONTACT PERSON: ____ H_c_n_r_y _____ ____...,, "''i:---------------------
3 ~ I
CONTACT TELEPHONE: ____ 6_3_2_-_0_l_i ___________ ' ____________ _
, Flrt.., ·n I
INSPECTED'? -~ BY:--✓...,...'{-~_,__--"-~~-
INSPECTED BY: _________ _
INSPECTED
BY: _________ _
I
DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
,1-J(-'fo APPROVED ........------DISAPPROVED
APPROVED DISAPPROVED
APPROVED DISAPPROVED
COMMENTS: ----------------------------------
Rev. 1186 CANARY: Utilities PINK: Planning GOLD: Fire
DATE:
ESGIL CORPORATION
9320 CHESAPEAKE DR., SUITE 208 ~ 0• · (5w '--1 / 5 / <3::::,
SAN DIEGO, CA 92123
(619) 56CH468
JURISDICTION:
PLAN CHECK NO: ~-\0 SET: I
PROJECT ADDRESS: 'Z 5$"& J2ooSGV~T s;y-,
PROJECT NAME: · 1J:;:.. 2~ S-
~ The plans transmitted herewith have been corrected where
~·necessary and substantially comply with the .jurisdiction's
□
.□
0
□
D
building codes.
The plans transmitted herewith will substantially comply
with the j urisdiction's building codes when minor deficien-
cies identified _____________ are resolved and
checked by buil ding department staff .
The plans transmitted herewith have significant deficiencies
identified on the encl°osed check lis't and should be corrected
and resubmitted for .a complete recheck.
The check list transmitted herewith is for your information.
The plans are being held at Esgil Corp. until corrected
plans are submitted for recheck.
The applicant's copy of the check list is enclosed for the
jurisdiction to return to the applicant contact person.
The applicant's copy of the check list has been sent to:
~ Esgil staff did not advise the applicant contact person that
plan check has been completed.
O Esgil staff did advise applicant that the plan check has
been completed. Person contacted: -------------
Date contacted: ---------Telephone# ---------□ REMARKS: _________________________ _
Enclosures: RA-hi~ -----------
PERM IT APPLICATION
City of Carlsbad Bui lding Departme nt EST. VAL_..J.... __ j__.!_~~::::::'.=::::::::::.~
PLAN CK DEPOSIT-:-------.J."'----
2075 Las Palmas Dr., Carl sbad, CA 92009 (619) 438-1161
l . PERMIT TYPE
A C011MERCI AL
0 INDUSTRI AL □NEIi
C 0 RES !DENT IAL 0 APARTMENT
□DUPLEX 0 OEMOLI 11 ON
0 ME CHAN I CAL □POOL
ENAN T I MPROVEME NI
□TENANT IMPROVEMENT
□CONDO □SINGLE FAMI LY DI/ELLING 0 ADD I I ION/AL TERA! ION
0 RELOCA 11 ON O MOB I LE HOME O ELECTRICAL
□sPA □RETAINI NG IIALL □SOLAR
QPLUMBING
VALIO. BY _ _:?r'--...,-:c__ ________ _
DATE -------+--~~.C::.=J...Q.---
24-64 01/05'./90 000.1. 01.
C-F'~MT
·Y) \l~
2. PROJECT INFORMATION PLAN CHECK No.
Address 2--S0Y Oo s e:-v· cL--T s /, 4F .to? or
Nearest Cross Streets ~lA..-NPr: ~ ,
LEGAL DESCRIPT la. Lot No. Subd1v1s1on Name/NUtt>cr Uni t No. Phase No.
CHECK BELCAI If SUBMITTED: 0 1 Addressed Envelope
3.
4.
0 2 Energy Cales 02 Structural Cales D 2 Soi Is Rep0rt
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DESCR IPTION OF UoRit
'-:f-~ 7 St/y f · ~ br-'2. +~~n. -~N-lr>J iVv~~~:J-
aLoG. so. fTG. # OF STORIES
-lu'/jr:;::_ 17
CONTACT PE ~
NAME ,46'J f2 I -( v,.s BS'
Cl TY PtJ e-, fJ I Ttl 5 ----
SI GNATURE
CITY
ADDRESS
STATE C4 . ZIP CODE
STATE
CONTRACTOR
ADDRESS
ZIP CODE
{ Cf 4 I V l l(,q c; F /1,il-L VJ 4, :ti=/ 6 o
i~o 2.---f DAY TELEPHONE b 3 ?.: 0 3 --3 ?-
OWNER .,0'AGENT FOR OIINER
DAY TELEPHONE
~7A~T :#-3 () s-
2,_.,t)O DAY TELEPHONE J<,1-/7 '-/L.
6. co~l_!:A~TOR -.-
NAME rn=w \2-~ { l(f3'ijS-ADDRESS
ZIP CODE
l q'·q I V1-~y ?c , VV~ ~ I c 0
mv ~ C( Nf (T Ir? srm(/}-q '1.,0 l l/ DAY TELEPHONE 6 7-;,,.e,:,? t.--·
STATE L~C. J8 2 b 36 LICENSE CLASS 73 CITY BUSINESS (/"V\.. -C.L_
SIGNATURE
DES I GNER NAM
Cl TY
--,
STATE
ADDRESS
ZIP CODE
DATE
DAY TELEPHONE STATE LIC. #
7. WORKERS' COMPENSATION
Workers• C00'1)ensat ion Declaration: hereby affirm that have a certificate of consent to sel f-insure issued by the Di rector of Industrial Relations,
or a cert If i cate of \Jorkers' C~nsat ion Insurance by an aci'ni tted insurer, or an exact copy or duplicate thereof certified by the Di rec tor of the
insurer thereof filed wi th the ~uilding Inspect ion Department (Sect ion 3800, Lab. C>.
~ INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certif icate of Exemption: certify that 1n t he performance of the work for wh ich th1s permit is issued, I s hall not err-ploy any person in any manner
so as to become subject to the \Jorkers• COOl)Cnsation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION Owner-Builder Declarat ion: I hereby affirm chat I am exempt from the Contractor's L1eense Law for the following reason:
OJ as owner of the property or my employees with wages as their sole compensation, w1ll do the worl< and the structure is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License la1,1 does not apply to an 01,1ner of property who builds or trrc:>roves thereon .. and who
does such work himself or through his own empl oyees, provided that such irrprovements are not intenaed or offered for sal e. If, however, the building
or irrprovement is sold within one year of complet ion, the owner-bui lder wi ll have the burden of proving that he did not build or iff\?rove for the pur::x,se
of sale.).
D I, as owner of the proper ty, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
0 I am ex~t under Section ___________ _ Sus l ness and Professions Code for this reason:
(Sec. 7031.S Business and Professions Cede: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure,
prior to its issuance, also requires the applicant for such permi t to file a signed stat ement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, coomenc1ng with Section 7000 of D1v1sion 3 of the Business and Professions Code) or that he is exerrpt therefrom,
and the basis for the alleged e)(e~tion. Any violation of Section 7031.S by any apol,cant for a permit subjects the applicant to a c1 vil penalty of not
more than five hundred dol I ars [$500] ) .
SIGNATUR E DATE
C011PLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMIT5 ONLY:
Is the applicant or future building occupant required to sub'n it a business plan, acutel y haz.Jrdous. materials rc91strat1on form or risli: m.1nagemcnt and crevent1on
program urder Sect ions 25505, 25533 or 25534 of the Pres I ey· r anner Hazardou:; Substance Account Act°'
Ores ';KJ,No Is the aoplicant or future building occupant required to obtain a permit from the illr µoll .. :,on control district or air Quality managt:'fncnt dis trict'
□YES UNO
ts the facility to be constructed within 1,000 feet of-1 thc outer boundary of a school <;.1te"'
Jurisdiction CvhU...-601:i:Q Dates t{to/00
Prepared bys
S,w, VALUATION AND PLAN CHECK FEE
□ Bldg. Dept.
D Esgil
PLAN CHECK NO, '?) 0 -I 0
BUILDING ADDRESS 7., 15"5"8 ~512: \) l=L-T ST. ) -J¼ ,Zo S-
APPLICANT/CONTACT f+w@-( :ru B6S PHONE NO. (p ~ z: 0 3 3 2...
BUILDING OCCUPANCY ::e--z C,, 1.') DESIGNER PHONE _____ _
TYPE OF CONSTRUCTION V-}) CONTRACTOR PHONE -----
BUILDING PORTION BUILDING AREA VALUATION VALUE
MULTIPLIER
0PY, \l I, '7 f~-, ~ lg ,z_~ -L4-7laS-1~ -, .
-
Air Conditionin~
Commerci al ~ @ ..
Residential (cl .·
Res. or Comm.
Fire· S'Drinklers @
Total Value 14-, 1 Ca S-
Building Perm i t re e $ _ ___,,,_~_'Z_._o_o __________ --"'-------
P l a n Che ck f ee ·$ f C S ,30 $ __:::...._ _ __;___;;_ __ -=;__;;;;;-----------=-------
COM MEN TS,_:------------------------------
SHEET OF __ _
12/87
'-
V V V w w w • • • ~ Q Q
I I
~ ~ ~
;;; N ~ .. ... ... ... u u u V V V
"' "' "' u u u
~! C C • • .. 0:
l rao □
~□□
rnb □
Plan Check No. <J0-/0
APN· 023-!OZ--~
PLANNING CHECKLIST
Address '2.6513 ~/f:5). tfcos
Phone 438-1161 Pl a~ner di/;; 0zzpJ
(Name)
Type of Project and Use __ __,_@_,..uu.'ffl....:....• --'11(....._ ____________ _
Zone V/2... Facilities Management Zone _ _,_ ____ _
Legend
111 Item Complete
@ Item Incomplete -Needs your action
1, 2, 3 Number in circle indicates plancheck number that deficiency
was identified
Environmental Review Required: YES __ NOL TYPE ____ _
DATE OF COMPLETION:
Compliance with conditions of approval? If not, state conditions which
require action.
Conditions of Approval
Discretionary Action Required: YES __ NO){__ TYPE ____ _
APPROVAL/RESO. NO. ___ _ DATE: ________ _
PROJECT NO. ·
OTHER RELATE"'"D_,C..,.AS""'E,_S_: ~-=--=--=--==-------------
Compliance with conditions of approval? If not, state conditions which
require action. Conditions of Approval _________________ _
Coastal: YES --NOL DATE OF APPROVAL:
Compliance with conditions of approval? If not, state conditions which
require action. Conditions of Approval _________________ _
□□□
□□□
□□□
□□□
··oo □
□□□
□□□
□□□
□□□
□□□
landscape Plan Required: YES __ NO __
See attached submittal requirements for landscape plans
Site Plan:
1.
2.
3.
4 .
. Zoning:
1.
2.
3.
4.
Provide a fully dimensioned site plan drawn to scale. Show:
North arrow, property 1 i nes, easements, existing and proposed
structures, streets, existing street improvements, right-of-way
width and dimensioned setbacks. ·
Show on Site Plan: Finish floor elevations, elevations of finish
grade adjacent to building, existing topographical lines, existing and proposed slopes and driveway.
Provide legal description of property.
Provide assessor's parcel number.
Setbacks:
Front: Required Shown Int. Side: Required Shown Street Side: Required Shown Rear: Required Shown
lot coverage: Required Shown
Height: Required Shown
Parking: Spaces Required
Guest Spaces Required
. ,·
Shown
Shown
Additional c~nts and reaarks have been ude on the building plans. These
marked-up plans uy be picked up at the Building Departllent. These marked-
up plans 1111st be resut.itted with the revised plans for this project.
Have plans been marked up? YES__ NO ,L_
Additional Conrnents ______________________ _
OK TO ISSUE~# oArE -;.,,_l'.9_,_,~ ___ /¾.;_::;;v __
PlNCK.FRM
2560 ORION WAY
CARLSBAD, CA 92008
({itp of t:arlsbab
FIRE DEPARTMENT
PAGE 1 OF _j_
TELEPHONE
(619) 931-2121 APPROVED
PLAN CH ECK REPORT
DISAPPROVED
PLAN CHECK#
7r-,r
PROJECT f:. 1 /) t 2 ct (..'.\~C:,c(" /()T e S I -,
ARCHITECT ______________ ADDRESS __________ PHONE _____ _
OWNER f-J(, ' illt ;I 1 /'J£ P t:..A 1A ADDRESS f A tr' L~8A ~ PHONE
occuPANcY J3z_ coNsT. ______ ToTALsa. FT. sToRIEs T J/;r t;T
&SPRINKLERED ii-TENANT IMP. 7/n '7 s IF . 2, / ,U n uoR
__ 1.
__ 2.
__ 3.
~4.
--5.
APPROVAL OF PLANS IS PREDICATED ON CONFORMING
TO THE FOLLOWING CONDITIONS AND/OR MAKING
THE FOLLOWING CORRECTIONS:
PLANS, SPECIFICATIONS, AND PERMITS
Provide one copy of: floor plan(s); site plan; sheets ____________________ _
Provide two site plans showing the location of all existing fire hydrants within 200 feet of the project.
Provide specifications for the following:
Permits are required for the installation of all fire protection systemsi(@!nkle ~standpipes, dry chemical, halon,
CO2, alarms, hydrants). Plan must be approved by the fire department prior to installation.
The business owner shall complete a building information letter and return it to the fire department.
FIRE PROTECTION SYSTEMS AND EQUIPMENT
¼ 6. The following fire protection systems are required: ~ Automatic fire sprinklers (Design Criteria: L t l-:t/T .1/,a ~(l,;>J ,-Jk:-Yl 11r P~ 13
"'-7.
D Dry Chemical, Halon, CO2 (Location: ________________________ _
D Stand Pipes (Type: --------------------------------□ Fire Alarm (Type/Location: ____________________________ _
Fire Extinguisher Requirements:
'Ill One 2A rated ABC extinguisher for each 0 0QD sq. ft. or portion thereof with a travel distance to the nearest
extinguisher not to exceed C/5 fee of travel. •
D An extinguisher with a minimum rating of ___ to be located:
D Other: ___________________________________ _
__ 8. Additional fire hydrant(s) shall be provided _______________________ _
EXITS
_ 9. Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort.
__ 10. A sign stating, " This door to remain unlocked during business hours" shall be placed above the main exit and
doors ------------------------------------
__ 11. EXIT signs (6" x ¼" letters) shall be placed over all required exilts and directional signs located as necessary to
clearly indicate the location of exit doors.
GENERAL
__ 12. Storage, dispensing or use of any flammable or combustible liquids, flammable liquids, flammable gases and
hazardous chemicals shall comply with Uniform Fire Code.
__ 13. Building(s) not approved for high piled combustible stock. Storage in closely packed piles shall not exceed 15 feet
in height, 12 feet on pallets or in racks and 6 feet for tires, plastics and some flammable liquids. If high stock pil-
ing is to be done, comply with Uniform Fire Code, Article 81.
__ 14. Additional Requirements. ------------------------------
' L 99 I U, llfU-E I
/:::.)L/~ u , ,r.4c... . eA I 9.J, 0 7, L_I
__ 15. Comply with regulations on attached sheet(s).
Plan Examine~~~ ~ Date-1-,/~l~S"j'-11'-97}~..__ __
Report mailed to architect ___ Met with ___________ , ___ _ __ Attach to Plans
REMODEL OR TENANT IMPROVEMENT CONSTRUCTION VALUATION
The Building Official is mandated by State l a w to determine the value
of work proposed in each application for a Building Permit. The value
to be used, shall be the total v alue of all construction work for which
the permit is issued as well as all finish work, painting, roofing,
electrical , plumbing , heating, air conditioning, elevators, fire exting-
uishing systems and any other permanent equipment . Uniform Building
Code Section 304 (a)
***********************************************************************
APPLICANT PLEASE COMPLETE
SITE ADDRESS 7,,e~)O '(lt:iD'3E)/Gl,T ST ~2,0~ PLAN CHECK NO. 9o-(~
DESCRIPTI~ON OF PROP,OSED WORK 7:s : 2!4 ·i!· -rifil'J&f= P¥~1+,,--:t -
~-1 ~ -f&~~ c: l;tl~ .
AREA OF 0 REMODEL ------------------
~TEN ANT IMPROVEMENT 7 £'"] 5f(,f+
D ADDITION ------------------
PROPOSED WORK INCLUDES :
NEW SUSPENDED CEILING
NEW HVAC
NEW FIRE SPRINKLERS
NEW PARTITIONS
NEW PLUMBING
NEW ELECTRICAL
BYES
DYES
DYES
~ES
DYES
~YES
D NO
gNO
~NO D NO
[2k'NO
D NO
HAS A CONTRACTORS ESTIMATE BEEN RECEIVED FOR THE PROPOSED WORK?1><]'YES [ ]NO
ITEMIZED COST ESTIMATE IS ATTACHED [ ] YES P<f NO
I CERTIFY THE VALUE OF ALL PROPOSED CONSTRUCTION WORK COVERED BY THE
PERMIT APPLICATION INCLUDING: ALL STRUCTURAL WORK , FINISH WORK, PAINT-
ING, ROOFING ~ ELECTRICAL , PLUMBING, HEATING , AIR CONDITIONING , ELEVATORS,
FIRE EXTINGUISHING SYSTEMS, AND ALL PERMANENT EQUIPMENT IS:$ /0.-J3g.~ I
THIS VALUE IS BASED ON:
D DESIGNER Is ESTIMATE
'El CONTRACTOR 'S ESTIMATE
0 OTHER, DESCRIBE BASIS _____________ _
THE ABOVE IN~ON IS TRUE AND CORRECT
§l ) r7 d ~ APPLICANT
D DESIGNER
0 CONTRACTOR
**********************************************************************
PLAN CHECKER USE ONLY
THE VALUE IS ACCEPTABLE O YES D NO
AN ITE~1IZED COST BREAKDOWN IS REQU IRED TO CONFIRM THE ESTIMATED
CONSTRUCTION VALUE. D YES D NO
BY : _________________ _
DATE : ------------------